- Vatica Health (CA)
- The Provider Network Representative III is responsible for the full range of provider relations and engagement activities for Vatica Health. The Provider ... service relationships with all participants (physicians and administrators) of a provider network . + Analyze data related to practice/physician participation,… more
- Elevance Health (Walnut Creek, CA)
- **JR167522 Provider Network Manager** The Provider Network Manager develops the provider network through contract negotiations (language and ... ancillary providers, providers in areas with increased competition or where greater provider education around managed care concepts is required. + Contracts may… more
- The Cigna Group (Oakland, CA)
- …Berkeley, San Ramon, Concord, Pleasant Hill, CA areas are preferred** The **Manager, Provider Contracting Network Management** serves as an integral member of ... Provider Contracting Team and reports to the VP, Network Management. This role assists in developing the strategic...loading and submissions and interface with matrix partners for network implementation and maintenance. + May provide … more
- Humana (Sacramento, CA)
- … Network Payment Solutions (INPS) department which falls under the Provider Process and Network Organization (PPNO). The Senior Business Intelligence ... and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior...bi-weekly payment for their internet expense. + Humana will provide Home or Hybrid Home/Office employees with telephone equipment… more
- Datavant (Sacramento, CA)
- …the right format. Our platform is powered by the largest, most diverse health data network in the US, enabling data to be secure, accessible and usable to inform ... **What We're Looking For** We are seeking an experienced Director of Risk Bearing Provider Sales to lead our efforts in selling chart retrieval and HCC (Hierarchical… more
- Humana (Sacramento, CA)
- …role is within the Integrated Pricing Solutions (IPS) department which falls under the Provider Process and Network Organization (PPNO). **The Sr. Provider ... our caring community and help us put health first** The Sr. Medicare (PPS) Provider Hospital Reimbursement Analyst will be an integral part of the Pricer Business… more
- Humana (Sacramento, CA)
- …part of our caring community and help us put health first** The Provider Contracting Executive initiates, negotiates, and executes physician, hospital, and/or other ... provider contracts and agreements. The Provider Contracting...May assist with identifying and recruiting providers based on network composition and needs. Advises executives to develop functional… more
- Providence (Eureka, CA)
- …for advancement. **Requsition ID:** 393654 **Company:** Providence Jobs **Job Category:** Provider Network **Job Function:** Health Plans Services **Job ... **Description** Under the supervision of the Director, the Provider Relations Representative functions as a liaison among...and requirements for driving. Caregivers will be expected to provide proof of driver license and auto insurance upon… more
- Humana (Sacramento, CA)
- …caring community and help us put health first** The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, and/or other ... provider contracts and agreements for an organization that provides...May assist with identifying and recruiting providers based on network composition and needs. Begins to influence department's strategy.… more
- CVS Health (Sacramento, CA)
- …every day. **Overview** **Meritain Health** provides customized benefits, cost management, and network access for millions of members. The ** Provider Advocate** ... groups and handles any relevant escalations as needed. **Position Summary** + Resolves provider and network inquiries and escalations. + Serves as single… more